5-142314456-G-T

Variant summary

Our verdict is Benign. Variant got -7 ACMG points: 2P and 9B. PM1BP4_StrongBP6BS2

The NM_001127496.3(SPRY4):​c.653C>A​(p.Ser218Tyr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00625 in 1,614,168 control chromosomes in the GnomAD database, including 37 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0043 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0065 ( 34 hom. )

Consequence

SPRY4
NM_001127496.3 missense

Scores

2
10
7

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:3O:1

Conservation

PhyloP100: 9.60
Variant links:
Genes affected
SPRY4 (HGNC:15533): (sprouty RTK signaling antagonist 4) This gene encodes a member of a family of cysteine- and proline-rich proteins. The encoded protein is an inhibitor of the receptor-transduced mitogen-activated protein kinase (MAPK) signaling pathway. Activity of this protein impairs the formation of active GTP-RAS. Nucleotide variation in this gene has been associated with hypogonadotropic hypogonadism 17 with or without anosmia. Alternative splicing results in a multiple transcript variants. [provided by RefSeq, Jun 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -7 ACMG points.

PM1
In a chain Protein sprouty homolog 4 (size 298) in uniprot entity SPY4_HUMAN there are 4 pathogenic changes around while only 0 benign (100%) in NM_001127496.3
BP4
Computational evidence support a benign effect (MetaRNN=0.013144106).
BP6
Variant 5-142314456-G-T is Benign according to our data. Variant chr5-142314456-G-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 50874.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=3, Uncertain_significance=1}.
BS2
High AC in GnomAd4 at 653 AD,Digenic gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SPRY4NM_001127496.3 linkc.653C>A p.Ser218Tyr missense_variant Exon 2 of 2 ENST00000434127.3 NP_001120968.1 Q9C004-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SPRY4ENST00000434127.3 linkc.653C>A p.Ser218Tyr missense_variant Exon 2 of 2 1 NM_001127496.3 ENSP00000399468.2 Q9C004-1
SPRY4ENST00000344120.4 linkc.722C>A p.Ser241Tyr missense_variant Exon 3 of 3 1 ENSP00000344967.4 A0A0C4DFS6
SPRY4ENST00000643792.1 linkn.1335C>A non_coding_transcript_exon_variant Exon 1 of 1

Frequencies

GnomAD3 genomes
AF:
0.00429
AC:
653
AN:
152188
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00109
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00360
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00332
Gnomad FIN
AF:
0.00641
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00683
Gnomad OTH
AF:
0.00144
GnomAD3 exomes
AF:
0.00446
AC:
1119
AN:
250986
Hom.:
4
AF XY:
0.00431
AC XY:
585
AN XY:
135686
show subpopulations
Gnomad AFR exome
AF:
0.00123
Gnomad AMR exome
AF:
0.00431
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00291
Gnomad FIN exome
AF:
0.00644
Gnomad NFE exome
AF:
0.00611
Gnomad OTH exome
AF:
0.00474
GnomAD4 exome
AF:
0.00645
AC:
9436
AN:
1461862
Hom.:
34
Cov.:
32
AF XY:
0.00628
AC XY:
4568
AN XY:
727226
show subpopulations
Gnomad4 AFR exome
AF:
0.00108
Gnomad4 AMR exome
AF:
0.00405
Gnomad4 ASJ exome
AF:
0.000115
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00298
Gnomad4 FIN exome
AF:
0.00644
Gnomad4 NFE exome
AF:
0.00753
Gnomad4 OTH exome
AF:
0.00394
GnomAD4 genome
AF:
0.00429
AC:
653
AN:
152306
Hom.:
3
Cov.:
32
AF XY:
0.00403
AC XY:
300
AN XY:
74470
show subpopulations
Gnomad4 AFR
AF:
0.00108
Gnomad4 AMR
AF:
0.00359
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00332
Gnomad4 FIN
AF:
0.00641
Gnomad4 NFE
AF:
0.00683
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00565
Hom.:
2
Bravo
AF:
0.00393
TwinsUK
AF:
0.00917
AC:
34
ALSPAC
AF:
0.00752
AC:
29
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00616
AC:
53
ExAC
AF:
0.00457
AC:
555
Asia WGS
AF:
0.00202
AC:
7
AN:
3478
EpiCase
AF:
0.00545
EpiControl
AF:
0.00640

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:3Other:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:3
Jan 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

SPRY4: BS2 -

Aug 26, 2020
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; This variant is associated with the following publications: (PMID: 31726455, 23643382) -

Jan 12, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Uncertain:1
Mar 29, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency in individuals with Kallman syndrome and controls was the same (Miraoui 2013). -

Amenorrhea Uncertain:1
Mar 08, 2021
Yale Center for Mendelian Genomics, Yale University
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: literature only

- -

Hypogonadotropic hypogonadism 17 with or without anosmia Other:1
May 02, 2013
OMIM
Significance: risk factor
Review Status: no assertion criteria provided
Collection Method: literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.34
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.090
CADD
Pathogenic
29
DANN
Uncertain
0.99
DEOGEN2
Benign
0.11
T;D
Eigen
Pathogenic
0.86
Eigen_PC
Pathogenic
0.84
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.84
T;D
M_CAP
Uncertain
0.097
D
MetaRNN
Benign
0.013
T;T
MetaSVM
Uncertain
-0.26
T
MutationAssessor
Benign
1.5
.;L
PrimateAI
Uncertain
0.56
T
PROVEAN
Uncertain
-3.5
D;D
REVEL
Uncertain
0.39
Sift
Uncertain
0.0010
D;D
Sift4G
Uncertain
0.0040
D;D
Polyphen
1.0
.;D
Vest4
0.36
MVP
0.92
MPC
1.3
ClinPred
0.023
T
GERP RS
5.5
Varity_R
0.81
gMVP
0.49

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs139512218; hg19: chr5-141694021; COSMIC: COSV99073334; COSMIC: COSV99073334; API